Saxonburg, PA · Butler County
2025 Act 44 Disclosure Form for Pension System Service Providers
This form collects annual disclosures from contractors providing professional services to Saxonburg Borough’s pension system and receiving payment from its pension fund.
What this form is
Saxonburg Borough requests this annual disclosure from contractors providing professional services under contract to one or more of its pension funds and receiving payment from a pension fund. The form asks about contractors, related personnel, political contributions, gifts, lobbying, business relationships, and potential conflicts of interest. Contractors complete the questions and verification, provide requested details on separate sheets, and update information in writing as changes occur.
Who needs it
Contractors paid by Saxonburg Borough’s pension fund for professional services must complete the disclosure, including information about relevant subcontractors and advisors.
How to submit it
Return the completed form by December 1, 2025, to Saxonburg Borough, Attn: Steven May, Chief Administrative Officer, 420 W. Main St., Saxonburg, PA 16056, or email [email protected].
About notarization
This document is signed and dated without a notary; its verification states that the facts are true and correct and refers to unsworn falsification.
How to submit this form
- 1
Download The Form
Download the 2025 Act 44 Disclosure Form for Saxonburg Borough’s pension system.
- 2
Complete The Disclosure
Identify the pension plan or plans and answer the questions about the contractor and related personnel.
- 3
Gather Supporting Details
Attach separate sheets with details required for affirmative answers and the letter requested for a disclosed business relationship.
- 4
Sign And Submit
Sign and date the verification, then return the form to the borough by December 1, 2025, using the listed address or email.
Frequently asked questions
- Do I need a notary for the Act 44 Disclosure Form?
- No. The form has a verification signature and date but no notary block. The verification refers to unsworn falsification; the signer signs and dates the form.
- How do I submit the Act 44 Disclosure Form?
- Return it to Saxonburg Borough, Attn: Steven May, Chief Administrative Officer, at 420 W. Main St., Saxonburg, PA 16056, or email [email protected].
- Who must complete this disclosure?
- Contractors providing professional services under contract to Saxonburg Borough’s pension funds and receiving payment from a pension fund must complete the form.
- What information does the form request?
- It asks about service providers and related personnel, contributions, gifts, lobbying, business relationships, and potential conflicts of interest. Some answers require details on a separate sheet.